MMC at 7.2 weeks, anyone else that opted for medical management?

[Wantohope]

Sadly, I find myself here for the second time in 6 months.
Going for a scan a couple of weeks ago, at 7w4d I have been told that the hb stopped a day or two before that.
I have, again, opted for medical management as I am shit scared of GA.

Last time it happened at less than 6 weeks and I was hoping to find whether I should expect any major changes in terms of pain and bleeding?

I will admit, I am a bit scared of all of it again :(

I have postponed the medical management for a while mostly because of not being able to take time off work (which is another pain in the bumm ATM) and was hoping it will happen naturally.
It has been 2 weeks and nothing happened so I will have to get the ball rolling this weekend unfortunately :/

[bakingtins]

wanto so sorry you are facing this again

I had MM for an incomplete MC at 9 weeks. I found the contractions quite painful and wasn't told until afterwards I could have had prescribed painkillers rather than just paracetamol/ ibuprofen but I would think that's how the individual responds to the pessaries and should not be worse than your previous experience. There will be a bit more tissue at 7+ weeks than

[Catlover2014]

Hi. I'm so sorry for your loss :(

I had one natural mc and one D&C, both at around 11 weeks.

My advice is to go for the operation if you can. I found it much less distressing, painful and draining. I went back to work a week after my D&C but probably could have gone back three days after if needed...

Xx

[TeaandHobnobs]

Hi OP,
I too am sorry you are facing this again.
I had medical management at c 8/9 weeks (empty gestational sac) and didn't actually suffer much pain - I was discharged from the ward at about 6pm and things kicked off at about 9pm; I ended up taking the co-codamol I was given not because I was in any significant pain, but to help me get some sleep. The majority of the bleeding was over by the morning, with it then at sort of normal period levels for the next few days.
However the dr did tell me that it is often less painful when there is only a sac to expel.
Thinking of you

[Wantohope]

bakingtins thank you, once more, for your help and good thoughts.
I remember last time I was here you were just starting a new treatment with prof Q. I've had a peek at the "recurrent miscarriage support" thread and I was really really happy to find out it worked for you and you're almost there now!

cat, I have considered it, but I just don't know if I could cope with the added anxiety that the d&c would bring.
I've heard about manual vacuum aspiration which is done under local and that is being offered at guy's and thomas, but I am with a different trust unfortunately.

tea my last one has developed to around 6 weeks and there was an embryo. I didn't bleed much. I mean, obviously there was a lot of pain and more blood than a period, however, nothing too worrying. I actually remember worrying that I didn't pass everything as I expected much more blood.
Now, as it has grown to a bit more than 7 weeks I am not sure of what to expect.
I have been prescribed some co-dydramol (never heard of it in my life) for pain. Last time I only had ibuprofen and had to be careful as I have a sensitive stomach :(

Thank you all

[bakingtins]

You're v welcome on the RMC thread if you'd appreciate the support. Our criteria are not strict and after a second MC it's hard to stomach the 'bad luck' line again.

[JBrd]

So sorry that you have to go through this again, life is so cruel sometimes.

I had the MM for my 3rd mc at 9-10 weeks, and also for my most recent one at 17 weeks.
I had a brilliant hospital team who looked after me so well, it really kept the stress at a minimum. Yes, I would have preferred the ERPC or natural management, but in both cases, it was not an option.

I found the pain and bleeding very similar for both, it definitely wasn't worse this time, when I was further along.

I second baking's advice to ask for every pain relief option available, and do it as soon as possible. Don't wait, just get the drugs on board as quickly as they let you. I had paracetamol and codeine to start with, but asked for and was given a morphine drip quite soon after that. Turns out that by the time they had put it in, I didn't need it anymore, but there is absolutely no point in trying to be brave with the pain.

I hope it goes as smoothly as possible for you and that you get all the support that you need. Take care of yourself.

[Wantohope]

Hi,

Just a quick update for anyone who might need this info in the future (as I did):

I had the medical management on Saturday. Have inserted the pessaries at around 1PM and have also taken the 2 one off antibiotic doses I've been prescribed.

Went to the local farmers market and started having quite painful cramps within one hour. Tried to make my way back home but had to throw up on the side of the road, only a few minutes from our home. I just couldn't hold it any longer, the stomach spasms were quite strong.
The leaflet that came with the treatment did mention that if I threw up I was supposed to call EPAU for another dose of antibiotic but at this point I couldn't be bothered anymore.

I started getting more painful cramping at about 3 PM so I've made my way to the bathroom and spent the next 6 hours under the shower (as I have done with my previous mc)
This time I've passed about 4-5 big clots (each bigger than a chicken liver) compared to last time when I have only passed 1.
Bleeding wise I haven't seen too much, can't really quantify it as I sat under the hot shower, but nothing scary, I would say same as last time or even less (?!) Which is a bit worrying and I am praying I have eliminated everything. Yesterday I have changed my pad 3 times and only once today.

Surprisingly it wasn't as painful as with my previous mc, when I could feel contraction every few minutes and felt like climbing the walls with pain. It was more painful than a very painful period. I have only taken 3 ibuprofens in the space of those 6 hours. I could have made it with another one probably, but I didn't want to over do it. NSAIDs really upset my stomach.

I've spent Sunday on the sofa, watching TV and reading, only got up to use the toilet and to have dinner - which was a bad idea as I started having bad cramps again.

Today the pain is more bearable, managed to stand up for 20 minutes doing the dishes. Cramping started again but not too bad. I don't think I am ready to stand up for too long yet, I'll see how tomorrow goes.

Watching Friends atm, it never fails to make me smile, even in my darkest hours.

[bakingtins]

hope that's the worst of it over. Take it easy for the next few days.

[Catlover2014]

Hi sorry I've not been on these last few days. Just wondered how you're doing now? You've been really brave! Xxx

[Wantohope]

Hey Cat,

I'm ok, thank you
Still bleeding lightly, some very small clots, not too bad.
However, I still am quite bloated and I've gained a horrible flab this time on top of the one I did nor manage to get rid of last time :( Really depressed about it atm.
I know it sound very superficial, but it really bothers me. I'm now expecting half of my hair to fall off, as with my previous mc :((

[Wantohope]

Sorry, i should have said I'm quite petite, skinny legs and small breasts, so my tummy really looks like it belongs to a different body :~